| NPI | 1346619681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 124522) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-03-17 |